OBJECTIVES: To assess the knowledge of universal precautions for the delivery and operating rooms by residents and students and to evaluate their use of universal precautions. STUDY DESIGN: Obstetrics and gynecology (ob/gyn) residents (n = 30) and students (n = 31) from an inner-city, teaching hospital were polled by anonymous questionnaire to assess their knowledge of the appropriate barrier equipment for certain ob/gyn procedures. To determine actual compliance with universal precautions, 459 ob/gyn procedures were observed. We noted the use of appropriate barrier equipment for each procedure: gloves for pelvic exam and face shields, gowns, gloves, and booties for vaginal delivery, cesarean delivery, and dilation and curettage. The True Epistat statistical software program was used to perform simple regression analysis. RESULTS: Thirty residents (100%) knew the appropriate barrier equipment required for each type of procedure performed. One student (< 1%) did not know that booties were appropriate for the surgical procedures. Rationale for lack of compliance with universal precautions elicited by the questionnaire included time constraints (64%), inconvenience (52%), and presumption that patient was not infected (34%). The observed rate of compliance with universal precautions by participants indicates that individual compliance was inversely related to the years of experience (overall compliance rate of students was 96%; for first-year residents, 92%, second-year residents, 89%, third-year residents, 84%, fourth-year residents, 78%; r = -0.9918, P = 0.0009). CONCLUSIONS: Knowledge regarding universal precautions was nearly 100%, while overall observed compliance was only 89%. Compliance with universal precautions was better among students (96%) than among residents (88%). Compliance with universal precautions was inversely related to years of experience.
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机译:目的:评估居民和学生对产房和手术室通用预防措施的知识,并评估他们对通用预防措施的使用。研究设计:通过匿名调查表对来自市中心教学医院的妇产科(ob / gyn)居民(n = 30)和学生(n = 31)进行问卷调查,以评估他们对于某些ob / g合适的屏障设备的知识妇科检查程序。为了确定对通用预防措施的实际遵守情况,观察了459 ob / gyn程序。我们注意到在每个过程中都使用了适当的屏障设备:用于骨盆检查的手套和面罩,手术衣,手套和用于阴道分娩,剖宫产,扩张和刮除术的赃物。 True Epistat统计软件程序用于执行简单的回归分析。结果:三十名居民(100%)知道每种手术类型都需要合适的隔离设备。一名学生(<1%)不知道赃物适合进行外科手术。问卷引发的不遵守普遍预防措施的理由包括时间限制(64%),不便(52%)和未感染患者的假设(34%)。参与者观察到的遵守普遍预防措施的遵守率表明,个人的遵守情况与经验年限成反比(学生的总体遵守率是96%;第一年居民为92%,第二年居民为89%,第三名年居民84%,第四年居民78%; r = -0.9918,P = 0.0009)。结论:关于通用预防措施的知识接近100%,而总体观察到的依从性仅为89%。学生(96%)对普遍预防措施的遵守情况要好于居民(88%)。对通用预防措施的遵守与多年的经验成反比。
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